The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial.

Bach, Patricia; Hayes, Steven C.

doi:10.1037/0022-006x.70.5.1129

Cited by 634 publications

(512 citation statements)

References 69 publications

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“…The lack of any significant differences in the current study between ACT and TAU at reducing positive symptoms is consistent with previous research (Bach & Hayes, 2002;Gaudiano & Herbert, 2006). Symptom reduction per se is not a primary goal of ACT.…”

supporting

confidence: 91%

“…Both were non-blind trials that focused on inpatients with psychotic disorders. Bach and Hayes (2002) found that individuals receiving ACT demonstrated significantly lower belief in positive symptoms at follow-up compared to the treatment as usual only group (TAU). The re-hospitalization rate in the ACT group was only half that of the TAU only group.…”

Section: Introductionmentioning

confidence: 90%

“…experiential avoidance and mindfulness. Neither of the two previous studies investigating ACT for psychosis (Bach & Hayes, 2002;Gaudiano & Herbert, 2006) employed these measures. Relative to the TAU arm of the study, participants receiving ACT had a significantly greater change in mindfulness skills.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

“…Two previous randomised controlled trials have investigated ACT for psychosis (Bach & Hayes, 2002;Gaudiano & Herbert, 2006). Both were non-blind trials that focused on inpatients with psychotic disorders.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis

White

Gumley

McTaggart

et al. 2011

Behaviour Research and Therapy

144

139

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The experience of psychosis can lead to depression, anxiety and fear. Acceptance and Commitment Therapy (ACT) facilitates individuals to accept difficult mental experiences and behave in ways that are consistent with personally held values. This study was a single (rater) blind pilot randomised controlled trial of ACT for emotional dysfunction following psychosis.Twenty-seven participants with psychosis were randomised to either: ten sessions of ACT plus treatment as usual (TAU) or TAU alone. The Hospital Anxiety and Depression Scale, Positive and Negative Syndrome Scale, Acceptance and Action Questionnaire, Kentucky Inventory of Mindfulness Skills and Working Alliance Inventory were used. Individuals were assessed at baseline and 3 months post-baseline. The individuals randomised to receive ACT found the intervention acceptable. A significantly greater proportion of the ACT group changed from being depressed at time of entry into the study to not being depressed at followup. The ACT group showed a significantly greater increase in mindfulness skills and reduction in negative symptoms. Results indicated that individuals randomised to ACT had significantly fewer crisis contacts over the study. Changes in mindfulness skills correlated positively with changes in depression. ACT appears to offer promise in reducing negative symptoms, depression and crisis contacts in psychosis.

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supporting

confidence: 91%

Section: Introductionmentioning

confidence: 90%

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis

White

Gumley

McTaggart

et al. 2011

Behaviour Research and Therapy

144

139

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“…As an applied matter, this analysis suggests practically useful forms of contextual control that can reduce the impact of negative private events without necessarily changing their form or frequency, such as acceptance and cognitive defusion. This claim has, in turn, been empirically supported by outcome studies (see Hayes, Masuda, Bissett, Luoma, & Guerrero, 2004, for a review), process analyses (e.g., Bach & Hayes, 2002;Zettle & Hayes, 1986) and component analyses (e.g., Masuda, Hayes, Sackett, & Twohig, 2004;Gutiérrez, Luciano, Rodríguez, & Fink, in press).…”

mentioning

confidence: 88%

Taxonomy as a contextualist views it

Hayes

2004

J Clin Psychol

Self Cite

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The Henriques' article, "Psychology Defined" (this issue, pp. 1207-1221), reflects an underlying philosophy of science that emphasizes coherence as its truth criterion. The taxonomic efforts that result are of unknown value when viewed from other philosophical positions. From the point of view of functional contextualism, the primary metric of successful science is not coherence per se, but the precision, scope, and depth of the analysis as a means of predicting and influencing psychological phenomena. Henriques presents neither data nor specific research proposals that would allow even the beginning application of such a metric. Thus, the proposed taxonomy has no known value when viewed contextualistically. Since the practical goals of clinical psychology are very similar to those of functional contextualism, clinical psychologists interested in making a practical difference will have few current empirical reasons to be attracted to this Keywords: taxonomy; contextualism; philosophy of science; pragmatism; behavior analysis All scientists bring assumptions to their work because no symbolic or analytic system can function without assumptions that lie outside of the system itself. Philosophy of science helps scientists recognize, appreciate, and harmonize their assumptions.I have found it helpful to think through complex psychological issues in terms of the major philosophical division proposed by Pepper (1942). The three general systems that seem most relevant to this paper are mechanism, organicism, and contextualism.Mechanists seek a comprehensive model of the machine that is the world, and from that point of view, the present exercise is true to the extent that it reveals the underlying parts, relations, and forces that make up reality. Predictive verification or falsification is the primary metric of truth.Organicists seek an appreciation of the way disparate features unite into an organic whole that reflects the purpose and development of the entire system. Coherence is the primary metric of truth.

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Cognitive behaviour therapy for schizophrenia

Cormac

Jones

Campbell³

2004

Cochrane Database of Systematic Reviews

178

108

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Background The National Institute for Health and Care Excellence (NICE) recommends that Cognitive Behaviour Therapy for psychosis (CBTp) is offered to all patients with a psychosis diagnosis. However, only a minority of psychosis patients in England and Wales are offered CBTp. This is attributable, in part, to the resource-intensive nature of CBTp. One response to this problem has been the development of CBTp in brief formats that are targeted at a single symptom and the mechanisms that maintain distress. We have developed a brief form of CBTp for distressing voices and reported preliminary evidence for its effectiveness when delivered by highly trained therapists (Clinical Psychologists). This study will investigate the delivery of this intervention by a cost-effective workforce of Assistant Psychologists following a brief training and evaluate the acceptability and feasibility of conducting a future, definitive, randomised control trial (RCT). Methods This is a feasibility study for a pragmatic three-arm parallel group superiority 1:1:1 RCT comparing a Guided self-help CBT intervention for voices and treatment as usual (GiVE) to Supportive Counselling and treatment as usual (SC) to Treatment as usual alone (TAU), recruiting across two sites, with blinded post-treatment and follow-up assessments. A process evaluation will quantitatively and qualitatively explore stakeholder experience. Discussion Expected outcomes will include an assessment of the feasibility of conducting a definitive RCT and data to inform the calculation of its sample size. If evidence from a subsequent fully powered RCT suggests that GiVE is clinically and cost effective when delivered by briefly trained Assistant Psychologists, CBTp offered in these less resource-intensive forms has the potential to generate benefits for individual patients (reduced distress, enhanced recovery and enhanced quality of life), service-level patient benefit (increased access to evidence-based psychological therapies) and economic benefits to the NHS (in terms of the reduced use of mental health inpatient services). Administrative Information Increasing access to CBT for psychosis patients: a feasibility, randomized co 4 Title {1} evaluating brief, targeted CBT for distressing voices delivered by Assistant (GiVE2) Trial registration {2a and 2b}. Current Controlled Trials ISRCTN registration number: 16166070.

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The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial.

Cited by 634 publications

References 69 publications

A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis

A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis

Taxonomy as a contextualist views it

Cognitive behaviour therapy for schizophrenia

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